Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
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Job Title: Associate Director of Revenue Cycle Management
Department: Anesthesia and Critical Care
Entity: CPUP
Location: Hospital of the University of Pennsylvania - 3400 Spruce St
Hours: Full Time First Shift

Summary:

• The Associate Director Revenue Cycle Management is responsible for overseeing all revenue activities and organizing strategies to increase profitability and meeting all financial objectives. They will review practice billing activities and generate ideas for innovative revenue programs. Areas of oversight include but are not limited to practice revenue cycle operations including pre-registration, financial clearance, documentation, coding, charging, and billing and collections practices. This position will analyze and review all departmental work queues for accuracy and timely competition. Promote and evaluate key performance indicators including but not limited to, self-pay collection rates, bad debt, charge lag, claim edits, and enrollment edits. The Associate Director Revenue Cycle Management will report to the department COO with a dotted line to the Director of Professional Fee Revenue Cycle Ops. The Associate Director Revenue Cycle Management will maintain a good working relationship with Directors of Operations and Director of Finance to ensure ongoing financial and operational performance to ensure clear communication and effectively interact with patients, as required, and other team members while maintaining a high standard of excellence and professionalism. Provide counsel to the COO, Division Chiefs, Physicians, Professional Fee Abstraction Department, the Professional Billing Office, Hospital Billing Office, and additional committees and organizations as directed. Work closely with other departments and Revenue Cycle leadership to translate improvements to other areas.

Responsibilities:

• Define strategic objectives, work closely with internal stakeholders and revenue cycle business partners to evaluate and analyze existing systems and processes, and implement improvements that support revenue cycle goals.
• Ensures compliance with federal and state legal requirements by researching existing and accessing new legislation and by consulting with outside advisors.
• Completes all regulatory and company documentation and reporting in accordance with established and /or required schedules.
• Advises management of actions and potential risks.
• Works proactively and closely with the compliance team on regulatory and credentialing matters impacting revenue cycle processes and develop strong relationships with payers and health plans to ensure streamlined problem resolution and maximized opportunities.
• Respond to inquiries related to insurance billing concerns, collection law and insurance protocol escalated by billing team staff.
• Prepare staffing and operations budget projections annually. Ensure department operations expenses are maintained within budgeted projections.
• Participates in the hiring, onboarding, and ongoing training processes of revenue cycle personnel.
• Keeps clinic leadership apprised of physician practice and staff performance through periodic reports and scheduled meetings.

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required) in Healthcare Administration or related field AND 5 years relevant management experience, including 3 years of related experience working in healthcare.
• OR Master of Arts or Science in Healthcare Administration or related field AND 3 years relevant management experience, including 3 years of related experience working in healthcare.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.